<?php
print drupal_render($form['form_build_id']);
print drupal_render($form['form_token']);
print drupal_render($form['form_id']);
?>
<div role="form">
    <h4 class="register-form-header">New Membership Registration</h4>
    <p>We welcome you to be a member of our online services. Please complete this online form to register as member. Once you register, you can use your Member ID and Password to shop at GovMall and YP Shopping Your membership information will be kept confidential. Click on "Member Info" on the bottom frame to access or update your membership information any time.</p>
    <p><small>(Fields in bold are mandatory and must be entered.)</small></p>
    <div class="page-header register-form-header">
        <h4>Login Information</h4>
    </div>
    <div>
        <small>Your Member ID should be something you can easily recall . Your Password should be known to you and between 6 and 14 characters. Do not use blank spaces. Both your Member ID and Password are case-sensitive.</small>
        <?php print drupal_render($form['account']['name']); ?>
        <?php print drupal_render($form['account']['pass']); // prints the password fields  ?>
    </div>
    <div class="page-header register-form-header">
        <h4>Contact Information</h4>
    </div>
    <div>
        <div class="row">
            <div class="col-md-4">
                <?php print drupal_render($form['field_first_name']); ?>
            </div>
            <div class="col-md-4">
                <?php print drupal_render($form['field_last_name']); ?>
            </div>
            <div class="col-md-2">
                <?php print drupal_render($form['field_title']); ?>
                
            </div>
        </div>
        <div class="row">
            <div class="col-md-5">
                <?php print drupal_render($form['field_nric_passport_co_reg_no_']); ?>
            </div>
            <div class="col-md-6">
                <?php print drupal_render($form['field_mric_combo']); ?>
            </div>
        </div>
        <div class="row">
            <div class="col-md-3">
                <?php print drupal_render($form['field_block']); ?>
            </div>
            <div class="col-md-3">
                <?php print drupal_render($form['field_unit_no']); ?>
            </div>
        </div>
        <?php print drupal_render($form['field_address']); ?>
        <?php print drupal_render($form['field_city']); ?>
        <?php print drupal_render($form['field_state_province']); ?>
        <?php print drupal_render($form['field_postal_zip_code']); ?>
        <?php print drupal_render($form['field_country']); ?>
        <p>Upon processing your purchases when you shop online, an acknowledgement will be sent to your email address. If you forget your password, you can request for it to be sent to your email address too. Email also lets us keep you up to date on what's happening at our site.</p>
        <p>Your phone number helps us to get in touch with you for any customer service enquiry.</p>
        <p>The mobile phone you enter should have 8 digits. </p>
        <?php print drupal_render($form['account']['mail']);?>
        <?php print drupal_render($form['field_phone']);?>
        <?php print drupal_render($form['field_mobile']);?>
    </div>
    <div class="page-header register-form-header">
        <h4>Optional Information</h4>
    </div>
    <div>
        <?php print drupal_render($form['field_date_of_birth']);?>
        <?php print drupal_render($form['field_gender']);?>
        <?php print drupal_render($form['field_marital_status']);?>
        <?php print drupal_render($form['field_monthly_income']);?>
        <?php print drupal_render($form['field_occupation']);?>
        <?php print drupal_render($form['field_enter_friven_co_vip_number']);?>
        <?php print drupal_render($form['field_please_include_me_in_your_']);?>
        <b>I have read, and agree to, the *<a class="bottomtext1" onclick="javascript:window.open('/membership/ypmall/agreement.htm','','toolbar=no,statusbar=no,scrollbars=yes')" href="#">Terms of Service</a> of Yellow Pages Shopping<!--/Auction membership-->.</b>
    </div>
    <div class="page-header">
    </div>
    <div>
        <?php print drupal_render($form['actions']['submit']); // print the submit button ?>
    </div>
</div>









